| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
793 |
743 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
93 |
86 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
250 |
238 |
$8K |
| 99235 |
|
13 |
12 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
29 |
29 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
33 |
30 |
$843.20 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$645.93 |
| 90686 |
|
22 |
12 |
$11.00 |